Individual
MS. REGINA LOUISE IMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.,B.C.,A.N.P
Contact information
Practice address
1000 DES PERES RD, SUITE 300, SAINT LOUIS, MO 63131-2050
(314) 919-2600
(314) 919-2677
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 739-4166
(314) 739-2485
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
MO2002025105
MO
Other
Enumeration date
11/23/2005
Last updated
05/26/2016
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